Category Archives: challenges

Alles van jou …


Afrikaans poetry is just my best,

Via jou :

Vra my wysheid Ek verwys jou Ignoreer my Ek upstage jou My meningspyling onderskei jou Jy speel saam want ek verlei jou Ek wil vertaal in waterverf dimensies Ek wil verdwaal en nooit weer hoef te wens nie As ek naby is aan jou As ek naby is aan jou Deur die skare soek ek net na jou Jaar na jaar, jy’s al wat ek onthou Al die kitare speel weer net vir jou Serenade, sang en dans vir jou Ek gaan nooit verloor nie Ek gaan nooit wen nie Jou ten volle verstaan Of ken nie Maar ek is useless sonder jou Ek is useless sonder jou Ek lewe klein en uncomplicated Die een fout is so underrated As ek naby is aan jou As ek naby is aan jou In n kroeg of in n kerk As ons slaap of as ons werk Ons is swak maar ons is sterk Ons is vry maar in geveg Sonder liefde het ons niks Sonder liefde is daar niks Sonder liefde is ek niks Sonder liefde Deur die skare soek ek net na jou Jaar na jaar, jy’s al wat ek onthou Al die kitare speel weer net vir jou N serenade, sang en dans vir jou Ooh ooh ooh Net vir jou

 Hard to translate because the words themselves are enriched with a meaning that is really almost untranslatable – certainly with word for word. One needs a whole sentence to try and impart the deep deep meaning.
Just felt I had to share, anyone who has not heard any of our richly talented artists. There is honestly a treasure chest full of delights to delve into.
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Gut microbiom and diabetes – of cats, kefir and insulin :)


I have a patient who is a type 1 diabetic and that patient has a cat who is also type 1. Needless to say they are both on insulin. Now if you thought that is it hard to dose a human try dosing a cat or a dog with insulin. It’s so hard and the margin for error is SO big.

These 2 patients have cut their insulin dose by half and halved their hypos by having kefir three times a day.

Then I came across an article in the Journal of Diabetes (South africa) about the gut bugs and diabetes. It mentions how important gut bugs are in terms of metabolic functioning – normal functioning as well as disease. It concludes by saying that “gut microbiota represents an exciting field with novel therapeutic potential”.

I say you have nothing to lose. Give it a try.kefir.jpg

A peace poem


some times frogs boil

some times minds foil

sticks and stones can not hurt nearly as much as words, ever

some times I wish I lived in the land of never never

hearts beat strong

lives live long

and actually sometimes there is even a king kong

world’s collide

sometimes divide

the crashing waves of hurt subside

and peace can become the normal tide

life is a pulse

a heart beat or two

so simple yet so complex

rather not be constantly vexed

peace is a path

chosen

on purpose

our lives a tapestry recorded and finite

choices all ours and have an impact into eternity

weird to think

sometimes a heart sink

and yet a choice

let peace be your choice

 

 

Newer insulins


Are they any better ?

Yes, yes and yes, if I needed insulin I would only be on the newest latest of them. Are they for everyone?

I certainly believe individualisation is the key here. We now have so many tools in the armament of diabetes and to this end they require to be prescribed for the greatest benefit for the individual.

So, when it comes to what we call basal insulin – background insulin. The insulin that controls your sugar before a meal and overnight and in the back ground so to speak (out side of meals). We now have a lot to choose from : protophane, other long acting basals, analogue basals like : glargine, detemir, newer ultra-long acting like degludec.

In terms of the choice it needs to match the needs of the patient.

If a patient wishes to only inject twice a day we have an option for that.

If a patient prefers an insulin pump we have an option for that.

If a patient is wanting ultimate control above all else there are choices for that.

What is critical is aiming for an A1c of 7 with very little variability. I am always happy to sacrifice A1c for less variability and my most important criteria is no hypos! or as few as possible. They are “Kak” for both brain and patient.

Ek lewe – I LIVE! Annelie Van Rooyen


Dag na dag dreun ritme om my heen

Dag vir dag dreun ritme om my heen (day after day the rythym’s around me – droning)
voel die ure vol en tog alleen, (the hours feel full and Yet I am alone)
Maar jou blik verslaan my vrees (but your gaze destroys/chases away my fear)
sonsaffier lag in jou wese (sun saffire- joy of laughing in your living – no words to describe in english)
bring geluk wat lank verlore was.(brings joy that was long lost)

Ek lewe!


gemaak om na liefde te strewe
op vlerke van vriendskap te swewe (to fly on wings of friendship)
sonder vrae oor wat more mag bring (without a worry about what tomorrow might bring)
Mm … ah – ha
O ek lewe!
verstaan weer van droom en van vrede
die vreugde van leef in die hede
dat ek hier is vir ‘n rede.

Die vrae was soos skadu’s binne my
deur die ligte lag en andwoord jy.
En ek sien die sonverhale
in jou oe nuwe tale –
lees die storie van weerbegin. (reading the story of a new beginning)

Ek lewe!
gemaak om na liefde te strewe
op vlerke van vriendskap te swewe
sonder vrae oor wat more mag bring
mm … ah – ha
O ek lewe!
verstaan weer van droom en van vrede
die vreugde wat leef in die hede
dat ek hier is vir ‘n rede.
Ek lewe!

 

February the month of love


Love love the big love. Which organ serves you most in love?

Is it the heart ? Or could it be the brain?

Could it be the gut??

Are the gut and the brain connected? Is the heart just a pump or it the seat of the soul there?

Love is patient love is kind. Love is in essence a pure distilled un-muddied thing.

Yet the process of love is very muddy.

We all yearn for it, even the toughest amongst us. Even the hardest of the hard, well some would argue they yearn for it more. In more ways than one 😉

The body is a vessel that contains so much, working in synergy, a whole lot of stuff being co-ordinated on a minute to minute basis. A miracle indeed.

Physical, biological, chemistry and so much much more! Then throw emotion in there. It’s a wonder we can “contain” it all.

I will end with my favourite Kalil Gibran ” The deeper the sorrow carves into your being, the more joy it can contain.” Sad but happy.

 

Diabetes and the holidays …


So I have blogged about this before, but they are upon us now.

What should you be doing/not doing or doing differently during the holidays.

We all know that glucose control is one way in the week and quite a different way on the weekend and holidays. This is partly because we are human and life is well just not always easy and letting your hair down usually goes with a bit of alcohol (if you are old enough) and a bit of cheating (dare I say it).

So all things considered, where does this leave you with your diabetes?

Consider it. Be mindful of it. Carb count it. Accurately.

With the holidays come a little bit of time – that we don’t usually have. Choose to exercise – must be something you love. Be creative. Horse ride or bike ride or dance!

Factor the exercise in. IF you are not sure how to do this, consult someone. Even if you are on holiday – trust me most of us (health care folk) are at work : dieticians, GP’s, nurse educators etc.

Don’t just go ape on yourself. It’s so much harder to get back the lost ground.

Enjoy yourself but be fair about it. Restraint is required.

Give yourself a Christmas present of being present more often. This will carry through to the new year and be a wonderful asset.

Top sites that I feel are invaluable : http://www.fatsecret.co.za – south african ,excellent for carb counting and so much more!, pinterest has awesome pictograms of diabetes.

Feel free to share your best app, resource with me.

Merry Christmas.